Depression Drug Unwanted Effects Including Weight, BP Variations Range Based on Pharmaceutical

- A comprehensive new study found that the side effects of antidepressant medications differ considerably by drug.
- Certain drugs resulted in reduced body weight, whereas others caused increased body weight.
- Heart rate and arterial pressure additionally diverged significantly across medications.
- Individuals experiencing persistent, intense, or troubling side effects ought to discuss with a healthcare professional.
Recent investigations has revealed that depression drug adverse reactions may be more extensive than once assumed.
This large-scale research, issued on October 21st, analyzed the impact of antidepressant drugs on in excess of 58,000 individuals within the beginning 60 days of beginning medication.
These scientists studied 151 research projects of 30 medications commonly prescribed to treat clinical depression. While not all individuals experiences unwanted effects, some of the most common recorded in the study were changes in weight, blood pressure, and metabolic markers.
Researchers observed significant variations between depression treatments. As an illustration, an two-month regimen of one medication was linked to an average decrease in mass of approximately 2.4 kg (roughly 5.3 pounds), while maprotiline individuals increased close to 2 kg in the equivalent duration.
There were also, marked fluctuations in cardiovascular activity: one antidepressant often would reduce cardiac rhythm, whereas another medication increased it, creating a gap of approximately 21 BPM between the two medications. BP differed too, with an 11 mmHg difference seen among one drug and doxepin.
Depression Drug Unwanted Effects Include a Broad Array
Healthcare specialists commented that the research's results are not considered novel or unexpected to mental health professionals.
"Clinicians have long recognized that distinct antidepressants range in their influences on weight, arterial pressure, and other metabolic parameters," a specialist stated.
"Nonetheless, what is remarkable about this research is the rigorous, comparative quantification of these differences throughout a broad range of physiological parameters employing data from more than 58,000 participants," this professional noted.
The study delivers robust evidence of the magnitude of adverse reactions, certain of which are more frequent than other effects. Common antidepressant unwanted effects may comprise:
- stomach problems (nausea, loose stools, constipation)
- sexual dysfunction (lowered desire, orgasmic dysfunction)
- body weight fluctuations (gain or decrease, depending on the agent)
- sleep problems (insomnia or sleepiness)
- oral dehydration, moisture, migraine
At the same time, rarer but therapeutically relevant adverse reactions may comprise:
- increases in BP or pulse rate (notably with SNRIs and certain tricyclics)
- hyponatremia (particularly in older adults, with selective serotonin reuptake inhibitors and serotonin-norepinephrine reuptake inhibitors)
- liver enzyme elevations
- QTc extension (risk of irregular heartbeat, notably with one medication and some tricyclic antidepressants)
- emotional blunting or indifference
"An important point to remember here is that there are multiple different classes of antidepressant medications, which contribute to the distinct negative medication reactions," another expert stated.
"Furthermore, antidepressant drugs can impact each patient differently, and adverse effects can range according to the exact drug, dose, and patient elements like metabolism or comorbidities."
Although certain side effects, such as variations in sleep, hunger, or energy levels, are quite common and commonly get better over time, others may be less typical or more persistent.
Talk with Your Doctor About Intense Unwanted Effects
Antidepressant medication unwanted effects may vary in severity, which could justify a change in your treatment.
"An change in antidepressant medication may be appropriate if the patient suffers continuing or unacceptable side effects that do not improve with duration or supportive care," a professional said.
"Furthermore, if there is an development of new health problems that may be exacerbated by the existing medication, for instance high blood pressure, abnormal heart rhythm, or considerable weight gain."
Individuals may also think about speaking with your physician regarding any deficiency of significant improvement in depressive or anxiety-related indicators after an appropriate testing period. An adequate testing period is typically 4–8 weeks at a therapeutic dose.
Individual inclination is furthermore important. Certain patients may choose to avoid particular unwanted effects, including intimacy issues or {weight gain|increased body weight|mass addition